Provider Demographics
NPI:1427761444
Name:MORTON, JAMES K
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:MORTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 COUNTY ROAD 3912
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75752-4189
Mailing Address - Country:US
Mailing Address - Phone:903-340-6570
Mailing Address - Fax:
Practice Address - Street 1:4400 COUNTY ROAD 3912
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75752-4189
Practice Address - Country:US
Practice Address - Phone:903-340-6570
Practice Address - Fax:903-670-1061
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities